Individual provider Active NPI

Richard T Kang, MD

  • Interventional Pain Medicine Physician
  • Clifton, NJ
National Provider Identifier
1730340118
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08453100 Issued in NJ
Practice address
1037 Route 46
Suite G5
Clifton, NJ 07013-2451
Phone
(973) 928-5363
Fax
(973) 928-5359
NPI assigned
Jun 19, 2008
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA08453100 NJ Primary

Addresses

Primary practice location

1037 Route 46
Suite G5
Clifton, NJ 07013-2451

Mailing address

1037 Route 46
Suite G5
Clifton, NJ 07013-2451
Phone (973) 928-5363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000477 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 7113088113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Perioperative Medicine, P.a.Group PAC ID 1951206200, 8 clinicians

Practice addresses (Care Compare)

104 Lincoln Ave
Hawthorne, NJ 07506-1436
Phone (973) 427-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Perioperative Medicine, P.a. CurrentSince Nov 1, 2017 Accepting new patients
Orthopedic & Hand Specialists, PC Past Accepting new patients
Hasbrouck Heights Rehab, LLC Past Accepting new patients

Locations

214 Terrace Ave
Hasbrouck Heights, NJ 07604
Phone (201) 288-6330

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1730340118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE G5",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-928-5363",
            "fax_number": "973-928-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 46",
            "address_2": "SUITE G5",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-928-5363",
            "fax_number": "973-928-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "RICHARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08453100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.